Fig. 1

Performing penile resurfacing surgery for extensive penile paraffinoma using the scrotal bridge flap technique. (A) Penile paraffinoma involving the entire penile shaft; (B) Radical excision of fibrotic tissue resulting in a denuded penile shaft; (C) Scrotal flap markings corresponding to the previously measured penile length [L], circumference of the proximal penile shaft [P], and circumference of the distal penile shaft [D]. A 1-cm scrotal bridge is assigned at the median ventral-inferior raphe; (D) The flap is elevated and advanced to cover the penile shaft; (E) The flap is wrapped around the penile shaft and sutured dorsally; (F, G) Dorsal and ventral views of the immediate result. (H) The result after 5 months. (I) The result after 1 year in another patient who underwent a similar procedure